Organization Active NPI

Roy W Bankhead MD PC

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1073146304
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ROY W BANKHEAD MD PC
Practice address
5700 N Portland Ave Ste 318
Oklahoma City, OK 73112-1651
Phone
(405) 942-8545
Fax
(405) 947-6854
NPI assigned
Feb 14, 2020
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Roy W. Bankhead, MDNPI 1477594513
Title
President/Owner
Phone
(405) 942-8545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

5700 N Portland Ave Ste 318
Oklahoma City, OK 73112-1651

Mailing address

5700 N Portland Ave Ste 318
Oklahoma City, OK 73112-1651
Phone (405) 942-8545

Other practice location 1

1703 Professional Cir Ste 101
Yukon, OK 73099-6497
Phone (405) 942-8545

Other practice location 2

1000 15th St
Woodward, OK 73801-3008
Phone (580) 256-1236

Other practice location 3

905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-2551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416000525 OK Part B Supplier - Clinic/Group Practice 5193155067 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

5700 N Portland Ave
Ste 318
Oklahoma City, OK 73112
Phone (405) 942-8545

Dept 960607
Oklahoma City, OK 73196

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1073146304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N PORTLAND AVE STE 318",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121651",
            "telephone_number": "405-942-8545",
            "fax_number": "405-947-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N PORTLAND AVE STE 318",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121651",
            "telephone_number": "405-942-8545",
            "fax_number": "405-947-6854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Professional Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996497",
            "country_code": "US",
            "telephone_number": "405-942-8545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 15th St",
            "address_purpose": "LOCATION",
            "city": "Woodward",
            "state": "OK",
            "postal_code": "738013008",
            "country_code": "US",
            "telephone_number": "580-256-1236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 S Main St",
            "address_purpose": "LOCATION",
            "city": "Shattuck",
            "state": "OK",
            "postal_code": "738589205",
            "country_code": "US",
            "telephone_number": "580-938-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROY W BANKHEAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "BANKHEAD",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "405-942-8545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.